Author’s Reply: Early Consequences of Pectus Excavatum Surgery on Self-Esteem and General Quality of Life
- 201 Downloads
We thank Darling C et al. for their interest in our article “Early consequences of pectus excavatum surgery on self-esteem and general quality of life”, recently published in the World Journal of Surgery .
Pain management in patients undergoing surgical correction of a pectus excavatum remains challenging.
The authors describe an interesting alternative technique for peri-operative pain management during Nuss bar placement in a patient with a pectus excavatum.
Although pain management with an epidural catheter is widely used after surgical pectus excavatum correction, it has downsides. One of the drawbacks of the use of the epidural in adolescents is that it is placed when the patients are already under general anaesthesia and testing of correct functioning is no longer possible. Consequently, some patients experience severe pain after surgery. Regional blocks may be an interesting alternative .
We agree that the erector spinae block (ESPB) may be helpful in pain management of pectus excavatum patients receiving a Nuss bar placement. However, to evaluate the use of ESPB in this patients group, a larger number of patients need to be assessed concerning effect on VAS score and QoL.
Since it is mainly the anaesthetist performing this technique, training this new technique in that professional discipline is also an issue which needs attention.
On behalf of all authors
Wietse P. Zuidema
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.